Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.83 / $1,234.23 / $1,234.23	Facility		$1,037.83	$1,234.23	$1,234.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.24 / $912.99 / $1,538.22	Professional		$642.24	$912.99	$1,538.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $1,962.99	Facility		$891.35	$891.35	$1,962.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.35 / $2,059.13 / $2,573.91	Professional		$891.35	$2,059.13	$2,573.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.86 / $1,722.25 / $1,784.54	Professional		$1,516.86	$1,722.25	$1,784.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.04 / $2,098.19 / $7,437.46	Facility		$1,121.04	$2,098.19	$7,437.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.65 / $890.28 / $2,340.69	Professional		$711.65	$890.28	$2,340.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,957.26 / $1,962.99 / $2,352.66	Facility		$1,957.26	$1,962.99	$2,352.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,581.25 / $2,167.05 / $3,751.19	Professional		$1,581.25	$2,167.05	$3,751.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.54 / $1,911.24 / $3,234.15	Professional		$1,784.54	$1,911.24	$3,234.15
United Facility/Professional Professional Modifier Low / Median / High Price $705.31 / $890.28 / $2,309.21	Professional		$705.31	$890.28	$2,309.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,695.31 / $1,695.31 / $1,695.31	Facility		$1,695.31	$1,695.31	$1,695.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,339.29 / $1,695.31 / $1,695.31	Professional		$1,339.29	$1,695.31	$1,695.31